Malene Kay Ingram, MD | |
2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | |
(518) 243-1313 | |
(518) 831-8007 |
Full Name | Malene Kay Ingram |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 2125 River Rd, Niskayuna, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013018829 | NPI | - | NPPES |
2697149 | Other | NY | UHC |
5713U1 | Other | NY | BLUE CROSS |
000412313001 | Other | NY | BSNENY |
10115793 | Other | CDPHP | |
7708835 | Other | NY | AETNA |
061214000250 | Other | NY | FIDELIS CARE |
396885 | Other | NY | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 241814 (New York) | Primary |
Entity Name | Ellis Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
Mailing Address | Practice Location Address |
---|---|
Malene Kay Ingram, MD 600 Mcclellan St, Schenectady, NY 12304-1009 Ph: () - | Malene Kay Ingram, MD 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 Ph: (518) 243-1313 |
Numeriano Go, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2468 Brookshire Dr, Niskayuna, NY 12309 Phone: 518-372-5308 Fax: 518-388-9926 | |
Prathima Kanumuri, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2210 Troy Schenectady Rd, Niskayuna, NY 12309 Phone: 518-612-8560 Fax: 518-612-8561 |